Provider Demographics
NPI:1043542491
Name:EICHHORN, ARDIS (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ARDIS
Middle Name:
Last Name:EICHHORN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9710 CLIFFWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4406
Mailing Address - Country:US
Mailing Address - Phone:713-729-1025
Mailing Address - Fax:713-729-1025
Practice Address - Street 1:9710 CLIFFWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4406
Practice Address - Country:US
Practice Address - Phone:713-729-1025
Practice Address - Fax:713-729-1025
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-10
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX173691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical